Experience of one-time retropubic prostatectomy and simultaneous pre-peritoneal hernioplasty in patients with benign prostatic hyperplasia and inguinal hernia

Authors

  • V. O. Shaprinskyi M. Pyrohov Vinnytsia National Medical University
  • V. I. Gorovyi M. Pyrohov Vinnytsia National Medical University
  • O. M. Kapshuk M. Pyrohov Vinnytsia National Medical University
  • R. P. Moraru-Burlesku M. Pyrohov Vinnytsia National Medical University
  • I. I. Dovgan M. Pyrohov Vinnytsia National Medical University
  • M. О. Malasaiev M. Pyrohov Vinnytsia National Medical University
  • O. R. Balatskiy M. Pyrohov Vinnytsia National Medical University
  • V. R. Taheiev M. Pyrohov Vinnytsia National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.3.13312

Keywords:

benign prostatic hyperplasia, retropubic prostatectomy, simultaneous pre-peritoneal hernioplasty, immediate and long-term results

Abstract

The aim of the work: to evaluate the immediate and long-term results of one-stage pubic prostatectomy and simultaneous pre-peritoneal hernioplasty in patients with benign prostatic hyperplasia and inguinal hernia.

Materials and Methods. The study included 152 patients with benign prostatic hyperplasia who were operated on in the urological department of the Vinnytsia Regional Clinical Hospital named after M. Pyrohov in the period from 2016 to 2021. The main group consisted of 32 (21.1 %) patients with benign prostatic hyperplasia and inguinal hernia, who underwent one-moment retropubic prostatectomy and simultaneous pre-peritoneal hernioplasty in the clinic. The comparison group consisted of 120 (78.9 %) patients with benign prostatic hyperplasia who underwent one-time retropubic prostatectomy. The average age of patients in the comparison group was (68.0±7.2) years, and in the main group – (67.1±6.9) years.

Results and  Discussion. The average age of patients in the comparison group was (68.0±7.2) years, the main group was (67.1±6.9) years; the average volume of the prostate in patients of the comparison group was (94.4±42.3) cm3, in the main group – (91.2±32.6) cm3. Inguinal hernias were found in all 32 patients of the main group, in 4 patients from both sides (a total of 36 inguinal hernias). The average times of pubic prostatectomy in the main group of patients and the comparison group were statistically the same (82.8±25.6) and (80.1±17.4) min., and simultaneous hernioplasty on one side lasted an average of (35.0±17.4) min. Neurological complications in the main group of patients were noted in 2 (6.25 %) patients, in the comparison group – 9 (7.5 %); urological – 11 (34.2 %) and 40 (33.3 %), respectively, and were statistically the same. The average postoperative bed-day in patients of the main group was (9.5±1.7); in the comparison group – (9.8±2.9). The quality of life of patients after simultaneous operations was statistically better due to the specified terms after surgical intervention when compared with the preoperative quality of life. Recurrences of inguinal hernia were not detected 3–5 years after the operation.

Performing simultaneous pre-peritoneal inguinal hernioplasty at the same time as simultaneous retropubic prostatectomy in patients with benign prostatic hyperplasia and inguinal hernia does not statistically worsen the immediate and long-term results of retropubic prostatectomy, and also helps to reliably eliminate two diseases at the same time from one surgical approach.

References

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Published

2022-10-05

How to Cite

Shaprinskyi, V. O., Gorovyi, V. I., Kapshuk, O. M., Moraru-Burlesku, R. P., Dovgan, I. I., Malasaiev M. О., … Taheiev, V. R. (2022). Experience of one-time retropubic prostatectomy and simultaneous pre-peritoneal hernioplasty in patients with benign prostatic hyperplasia and inguinal hernia. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 46–53. https://doi.org/10.11603/2414-4533.2022.3.13312

Issue

No. 3 (2022)

Section

ORIGINAL INVESTIGATIONS

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